Can I include the federal funds I receive for performing MAC, MCM, TCM, FPEP, or basic Title 19 services as local match?
The initial answer by most people would probably be “no.” You are calling these federal funds and it is generally understood that federal funds cannot be used to match other federal funds. FOLLOWING IS ONLY OUR OPINION OF THE FEDERAL GUIDANCE PROVIDED IN THESE TWO CIRCULARS; ANY DECISION BY YOUR COUNTY AS TO THE ACCOUNTING AND USE OF THESE FUNDS MUST BE MADE BY YOUR LOCAL OFFICES AND YOUR ACCOUNTANT. The answer to this question relies upon interpretation of the guidance provided in two federal budget circulars, A-87 and A-133 (including the A-133 Compliance Supplement). A-87 specifies the cost principles for state and local governments, including the prohibition on the use of federal awards to match other federal funds (Section C (h)). A-133 sets forth the audit standards for state and local governments that expend Federal awards. Our interpretation of these two documents, when read together, is that the funds a county receives from Medicaid for direct services and Medicaid Administrat
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